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ORTHOPEDICS AND TRAUMATOLOGY / CLINICAL RESEARCH
Changes in quality of life of patients with Blount’s disease undergoing simultaneous bilateral varus deformity correction using the Ilizarov method
1
Department of Orthopedics and Musculoskeletal Traumatology, Medical University of Warsaw, Poland
2
Department and Clinic of Orthopaedic and Traumatologic Surgery, Wroclaw Medical University, Wroclaw, Poland
3
Department of Orthopaedic and Trauma Surgery, University Hospital in Opole, Poland
4
Institute of Medical Sciences, University of Opole, Poland
Submission date: 2021-01-02
Final revision date: 2021-04-20
Acceptance date: 2021-04-20
Online publication date: 2021-04-23
Corresponding author
Łukasz Szelerski
Department of Orthopedics and Musculoskeletal Traumatology Medical University of Warsaw Lindeya 4 02-005 Warsaw, Poland Phone: +48 796850304
Department of Orthopedics and Musculoskeletal Traumatology Medical University of Warsaw Lindeya 4 02-005 Warsaw, Poland Phone: +48 796850304
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Blount’s disease is a growth disorder of the proximal tibia, which leads to varus deformity and internal rotation of the tibia. The treatment is mainly surgical and involves proximal tibial osteotomy and deformity correction. The aim of this study was to assess changes in quality of life in patients with tibia vara deformity who underwent correction via the Ilizarov method.
Material and methods:
A total of 23 patients with Blount’s disease who had undergone bilateral varus deformity correction with the Ilizarov method were included in this study. The following parameters were assessed retrospectively: duration of treatment with Ilizarov frames, baseline and postoperative values of the medial proximal tibial angle (MPTA) and mechanical axis deviation (MAD). The quality of life was assessed with the Short Form (SF)-36 questionnaire.
Results:
The study population comprised 13 females and 10 males (mean age: 28.43 years), in whom the Ilizarov fixators were maintained for an average of 106.65 days. MAD values diminished significantly after the surgery. We also observed significant increases in the MPTA values. The SF-36 scores increased across all domains, which indicates a significant improvement in the postoperative quality of life.
Conclusions:
Simultaneous bilateral correction of the varus deformity with Ilizarov external fixators is a potentially safe and effective treatment method. It may help reduce pain and improve gait, thereby improving quality of life. The duration of treatment depends to a large extent on patient’s cooperation, attitude, and self-discipline.
Blount’s disease is a growth disorder of the proximal tibia, which leads to varus deformity and internal rotation of the tibia. The treatment is mainly surgical and involves proximal tibial osteotomy and deformity correction. The aim of this study was to assess changes in quality of life in patients with tibia vara deformity who underwent correction via the Ilizarov method.
Material and methods:
A total of 23 patients with Blount’s disease who had undergone bilateral varus deformity correction with the Ilizarov method were included in this study. The following parameters were assessed retrospectively: duration of treatment with Ilizarov frames, baseline and postoperative values of the medial proximal tibial angle (MPTA) and mechanical axis deviation (MAD). The quality of life was assessed with the Short Form (SF)-36 questionnaire.
Results:
The study population comprised 13 females and 10 males (mean age: 28.43 years), in whom the Ilizarov fixators were maintained for an average of 106.65 days. MAD values diminished significantly after the surgery. We also observed significant increases in the MPTA values. The SF-36 scores increased across all domains, which indicates a significant improvement in the postoperative quality of life.
Conclusions:
Simultaneous bilateral correction of the varus deformity with Ilizarov external fixators is a potentially safe and effective treatment method. It may help reduce pain and improve gait, thereby improving quality of life. The duration of treatment depends to a large extent on patient’s cooperation, attitude, and self-discipline.
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| eISSN: | 1896-9151 |
| ISSN: | 1734-1922 |
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